The day of surgery and during hospitalization

Basic rules for patients during hospital stay:

13ADMISSION TO HOSPITAL

Admission to hospital is on the day of surgery. Please register at Front Desk in the orthopedic ward on your previously fixed time, day and location. On the spot, you will receive a card containing a consent for: hospitalization, informing persons about the state of your health, the use of therapeutic procedures, performing anesthesia and surgery, and an agreement informing us about the method of financing treatment. Please have an identification card and confirmation of your insurance policy with you.

14ACCOMPANYING PERSONS

An adult patient may be accompanied before and after surgery by a loved one. Children, however are requested to be accompanied during the whole period of hospitalization by a parent or legal guardian.

15THE WARD

Before surgery you will have a discussion with your doctor, anesthesiologist and nurse. Our medical team will answer any questions, help you complete all formalities and help prepare you for surgery.

16MEALS

Rehasport Clinic provides meals for patients. Self- catering is possible, yet only in the range approved by the anesthesiologist.

17STOP EATING !

Do not eat or drink at least six hours before surgery.

18MEDICATION

Necessary medicaments are provided by the hospital ward. For specific ongoing therapy, patients are asked to take their own medication, however you must inform your doctor about them. Medical staff (a nurse or doctor on duty) is present in the ward 24/7.

19DEPOSIT

The hospital does not hold responsibility for patient’s lost belongings. There is a deposit in the ward where you can safely leave your valuables for the time of surgery.

20PSYCHOLOGIST

Each patient may use the assistance of a Rehasport Clinic psychologist, free of charge.

21ANAESTHESIA

Bearing in mind the comfort of our patients, all surgical procedures are performed under anesthesia, whereas the choice of the appropriate method depends on the treated part of the body, the type of surgery and the clinical condition of the patient.

Block anesthesia used in Rehasport Clinic has different techniques:

  • Surface –  direct local anesthetic injection to the mucous membrane or skin,
  • Infiltration – blocking sensory nerve endings by the injection of the drug into the tissue,
  • Intravenous- dosing solution of local anesthetic into the previously emptied blood vessels of the upper extremity veins, more rarely the lower limb; emptying is done by using special bands (wristbands) filled with air under controlled pressure,
  • blockade of peripheral nerves, nerve trunks or strands involving the administration of a local anesthetic in the area of peripheral nerve, nerve trunk or nerve plexus. This provides a large range of anesthesia and of both sensory nerves and motor . This method is used in orthopedic surgery within the shoulder girdle and pelvis,
  • central lock / subarachnoid anesthesia (spinal) works by blocking nerve conduction by the administration of a local anesthetic into the subarachnoid space in the lumbar region .
  • central lock / spinal anesthesia (epidural) consists in blocking nerve conduction through the administration of the anesthetic into the epidural space of the spinal canal, where the nerve roots are located , loose connective tissue, plexus vasculosus. In orthopedics, it is suitable for surgery on the lower limb.

Local anesthesia involves controlled, reversible inhibition of nerve impulses by pharmacological agents. Local anesthesia involves only the operated area and does not require provoking sleep.

General anesthesia involves the administration of muscle relaxants, pain killers and sleeping pills. During the surgery, the patient undergoes intubation, whereas breathing is supported by an outer system . In orthopedics, this technique is used for surgery requiring a special positioning of the patient. Pain is disabled only for the duration of anesthesia, therefore baring in mind the comfort of patients, it is often combined with the techniques of regional anesthesia.